Diabetes-Related Sexual Dysfunction Often Goes Unspoken - Medscape

Bupropion overdose is associated with significant morbidity and mortality due to severe neurologic and cardiovascular toxicity, including seizures and life-threatening arrhythmias. Early recognition of electrocardiographic, clinical, and echocardiographic abnormalities is critical for prompt intervention and prevention of clinical deterioration. We present a case of a 21-year-old female who presented to the emergency department following an intentional polysubstance overdose involving suspected bupropion ingestion. The initial electrocardiogram (EKG) demonstrated sinus tachycardia. However, during continued monitoring, the patient developed QRS widening and seizures. Treatment included benzodiazepines, calcium, and sodium bicarbonate. Point-of-care ultrasound (POCUS) revealed a reduced ejection fraction (EF) of less than 30%, which was later confirmed on formal transthoracic echocardiography. These findings prompted escalation of care, intubation for airway protection and deep sedation, and transfer to the intensive care unit (ICU). During admission, she developed torsades de pointes (TdP), resulting in cardiac arrest. Despite her critical presentation, repeat echocardiography upon

European Medical Journal news storyPeople living with HIV may experience subtle changes in heart muscle function even when conventional measures of cardiac performance remain normal, according to findings from a systematic review and meta-analysis. Researchers identified significantly impaired global longitudinal strain (GLS) among people with HIV compared with HIV-uninfected individuals, despite preserved left ventricular ejection fraction (LVEF) in both groups. The findings suggest that speckle-tracking echocardiography (STE) could provide additional information about early myocardial dysfunction in this population. Read the full news story here.